Question

A 76-year-old man with hypertension, type 2 diabetes and a prior transient ischaemic attack is found to have non-valvular atrial fibrillation with a ventricular rate of 92 beats/min. His CHA₂DS₂-VASc score is 5. What is the most appropriate long-term antithrombotic management?

Accepted Answer

Oral anticoagulation with a direct oral anticoagulant at standard dose

Answer

No antithrombotic therapy is required

Answer

Aspirin 100 mg daily

Answer

Dual antiplatelet therapy with aspirin and clopidogrel

Answer

Warfarin with a target INR 1.5-2.0

Practice question

A 76-year-old man with hypertension, type 2 diabetes and a prior transient ischaemic attack is found to have non-valvular atrial fibrillation with a ventricular rate of 92 beats/min. His CHA₂DS₂-VASc score is 5. What is the most appropriate long-term antithrombotic management?